MEDICARE: BECAUSE WE CARE COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1063839991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BECAUSE WE CARE COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	9701 APOLLO DR STE 410
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-4791
Country	:	US
Telephone Number	:	240-573-7159
Fax Number	:

Provider Business Practice Location Address
First Line	:	9701 APOLLO DR STE 410
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-4791
Country	:	US
Telephone Number	:	240-573-7159
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MISS CARLETHA M. OLIVER
Credential	:
Telephone Number	:	240-573-7159

Provider Enumeration Date	:	03/28/2014
Last Update Date	:	03/28/2014

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